Brent Ryan Wells, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

14982 Issued in CA

Practice address

2231 Bayview Heights Dr
Los Osos, CA 93402-3900

Phone

(805) 528-5333

NPI assigned

Jun 19, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gary L Englund OD ApcGroup PAC ID 8628012697, 7 clinicians

Wells and Hile OD an Optometric CorporationGroup PAC ID 9537404983, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wells and Hile OD an Optometric Corporation

  • Optometrist
  • Atascadero, CA
  • NPI 1336616481
  Medicare reassignment Care Compare group NPD Authorized official
• Gary L. Englund, OD, Apc

  • Optometrist
  • Los Osos, CA
  • NPI 1356530638
  Medicare reassignment Care Compare group NPD
• Gary L. Englund, OD, Apc

  • Optometrist
  • Paso Robles, CA
  • NPI 1184632390
  NPD
• Lens Masters of Atascadero Inc

  • Optometrist
  • Atascadero, CA
  • NPI 1073979670
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444953600000",
    "number": "1043624836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 BAYVIEW HEIGHTS DR",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934023900",
            "telephone_number": "805-528-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 BAYVIEW HEIGHTS DR",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934023900",
            "telephone_number": "805-528-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "BRENT",
        "middle_name": "RYAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2015-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Ventura Camacho
• Jose Francisco Villalta, MA, PPS
• Julie Ann Wade
• Samantha Wallace, OTR/L
• Wellbridge Medical Inc.
• Frances Marie Wheeler, FNP-C
• Williams Hanan Inc
• Sandra Lee Woods, D.C.
• Edward Lane Worthington, PHARM. D.
• Denise Youngman, PT

• Optometrist in Los Osos, CA
• Providers in Los Osos, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.